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ICD-10 Guide
ICD-10 CodesG47.62

G47.62

Billable

Sleep related leg cramps

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 G47.62 is a billable code used to indicate a diagnosis of sleep related leg cramps.

Key Diagnostic Point:

Sleep related leg cramps are involuntary muscle contractions that occur during sleep, often causing significant discomfort and disruption to sleep patterns. These cramps typically affect the calf muscles but can also involve the thighs and feet. They are characterized by sudden onset, usually occurring in the early hours of the night or during periods of inactivity. The exact etiology of sleep related leg cramps is not fully understood, but they may be associated with factors such as dehydration, electrolyte imbalances, prolonged sitting or standing, and certain medications. Patients often report waking from sleep due to the pain, which can lead to sleep disturbances and subsequent daytime fatigue. Management strategies may include lifestyle modifications, stretching exercises, and in some cases, pharmacological interventions. Understanding the impact of sleep related leg cramps on overall sleep quality is crucial, as they can exacerbate other sleep disorders such as sleep apnea and narcolepsy, leading to a complex interplay of symptoms that require careful evaluation and management.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating from other sleep disorders like restless leg syndrome.
  • Need for comprehensive patient history to identify contributing factors.
  • Potential overlap with other conditions affecting sleep quality.
  • Documentation of symptoms and their impact on sleep is essential.

Audit Risk Factors

  • Inadequate documentation of symptoms and their frequency.
  • Failure to document the impact on sleep quality.
  • Misclassification with other sleep disorders.
  • Lack of evidence for treatment interventions.

Specialty Focus

Medical Specialties

Sleep Medicine

Documentation Requirements

Detailed sleep history, including onset, duration, and frequency of cramps, as well as associated symptoms.

Common Clinical Scenarios

Patients presenting with sleep disturbances and leg cramps, often requiring polysomnography for evaluation.

Billing Considerations

Consideration of comorbid conditions such as sleep apnea or restless legs syndrome that may complicate the diagnosis.

Neurology

Documentation Requirements

Neurological examination findings, patient history regarding leg cramps, and any relevant imaging or lab results.

Common Clinical Scenarios

Patients with neurological conditions presenting with nocturnal leg cramps.

Billing Considerations

Differentiating between primary leg cramps and those secondary to neurological disorders.

Coding Guidelines

Inclusion Criteria

Use G47.62 When
  • According to the ICD
  • CM guidelines, G47
  • 62 should be used when the leg cramps are specifically related to sleep disturbances
  • It is important to document the frequency and severity of the cramps and their impact on sleep quality

Exclusion Criteria

Do NOT use G47.62 When
  • Exclusion criteria include cramps due to other medical conditions or medications

Related ICD-10 Codes

Related CPT Codes

95810CPT Code

Polysomnography, sleep study

Clinical Scenario

When a sleep study is performed to evaluate sleep disturbances including leg cramps.

Documentation Requirements

Document the indications for the sleep study and any findings related to leg cramps.

Specialty Considerations

Sleep specialists should ensure comprehensive documentation linking symptoms to study findings.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of sleep disorders, including sleep related leg cramps, which enhances the ability to track and manage these conditions effectively.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of sleep disorders, including sleep related leg cramps, which enhances the ability to track and manage these conditions effectively.

Reimbursement & Billing Impact

impact on sleep, and any treatments provided. Providers should ensure that all relevant information is included in the medical record to support the diagnosis.

Resources

Clinical References

  • •
    American Academy of Sleep Medicine

Coding & Billing References

  • •
    American Academy of Sleep Medicine

Frequently Asked Questions

What are the common causes of sleep related leg cramps?

Common causes include dehydration, electrolyte imbalances, prolonged immobility, and certain medications. Identifying these factors is crucial for effective management.